title: Surgery of the thyroid gland.
abstract: Since the year 1987 to 1996 all kinds of thyroid surgeries were performed at the ENT Department. Altogether 604 patients underwent 655 surgeries. Total lobectomy or total thyroidectomy represented the most common procedures. Due to a gentle surgical technique, which we call "preparation", good results were achieved in the morbidity of laryngeal recurrent nerve (permanent palsy in 0.6%), and in perioperative or postoperative bleeding (0.3% of wound revisions, 0.5% of blood transfusions). Postoperative hypoparythyroidism was found in 4.7% patients. There is no correlation between postoperative hoarseness and laryngeal recurrent nerve palsy. Laryngeal endoscopy immediately after surgery is the most valuable diagnostic procedure.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Charles University, Faculty of Medicine, Hradec Králové.
authors.forename: J
authors.initials: J
authors.lastname: Vokurka
authors.forename: S
authors.initials: S
authors.lastname: Jakoubková
authors.forename: J
authors.initials: J
authors.lastname: Růzicka
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*